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Biomedical subjects

H H Zaretsky

Publications and source records attributed to H H Zaretsky.

18 recordsLinked to original sources

A matching-to-sample feedback technique for training self-control of tinnitus.

Thirty individuals with subjective tinnitus aurium of a variety of types and severity were treated with a matching-to-sample feedback procedure. Following initial evaluation measures, the participants' experienced tinnitus sounds were reproduced audiometrically on all characteristics and were presented to them in the noninvolved ear or in both ears when the tinnitus was binaural. This experimental sound was then reduced in 5 decibel (dB) steps within sessions, and participants had the task of concentrating on reducing the loudness of their tinnitus until a match was achieved between it and the experimental sound at each new dB level. Results showed an overall highly significant difference in dB levels from baseline to final training session. Nearly all participants demonstrated a marked reduction in tinnitus loudness, with 84% reducing it by 10 dB to 62 dB and several eliminating it completely. Individual and pathological variables played no role in training or outcome. Our approach appears to have major advantages over other tinnitus treatment strategies in that it provides direct, significant relief and gives the patient the psychological benefit of gaining control over the problem.

Adult

Learned self-control of tinnitus through a matching-to-sample feedback technique: a clinical investigation.

Two cases are reported in which subjective tinnitus aurium was treated with a matching-to-sample procedure. Following baseline evaluations, the subjects' experienced tinnitus was reproduced audiometrically in terms of loudness, frequency, and quality. This was presented to them in the noninvolved ear and was gradually reduced within sessions. The subjects were required to concentrate on reducing their tinnitus until an equal match had been achieved between it and the stimulus sound at each new decibel level. Both subjects gained control over their tinnitus and were able to reduce it markedly from baseline levels. This procedure is viewed as an advance over other techniques not only in that it significantly reduces the tinnitus but in the fact that it is done through the subject's own control, providing psychological benefit as well.

Adult

Verbal discrimination learning as a function of brain damage, aging, and institutionalization.

The relationship between young non-brain-damaged nonpatients, elderly non-brain-damaged patients and elderly brain-damaged patients and the acquisition and extinction of verbal discrimination conditioned responses were investigated in this study. Four groups of 10 Ss each were used: one group of elderly brain-damaged patients with no speech impairment; one group of elderly non-brain-damaged patients; and one group of young nonpatient Ss used as a comparison group. The three elderly, brain-damaged and non-brain-damaged groups were unable to make a simple verbal discrimination, while the younger nonpatient group had a nearly perfect record of discrimination responses. No significant differences were obtained between the three elderly patient groups.

Adult

Psychological factors and clinical observations in acupuncture analgesia and pain abatement.

The present study attempted to (a) replicate findings on acupuncture reported in the Chinese literature; (b) investigate the effects of acupuncture in achieving analgesia and pain abatement; and (c) isolate the relevant psychological and/or physiological variables involved. Fifty volunteer men and women between 18 and 30 years of age were administered the acupuncture phase of this study for induction of analgesia and relief of pain in the oral cavity. A comparable group of 30 additional Ss were included in the study for comparison with the acupuncture group on several objective psychological measures. Forty of the acupuncture Ss were classified as totally successful. No significant differences between the acupuncture group and the comparable control group were obtained on the objective psychological measures, including measures of personality, suggestibility, anxiety, and attitudes. The results appear to indicate that psychological factors are minimally involved in obtaining analgesia and pain abatement with acupuncture techniques. Several interesting clinical observations were noted during the acupuncture procedure, including absence of discernable signs of analgesia, consistency of results, contralateral analgesic effect related to the location of acupuncture needles, etc. These results were discussed in terms of the possible role of physiological and psychological factors in acupuncture. Possible areas of future research were also discussed.

Acupuncture Therapy

A cross-modality approach for treatment of chronic pain: a preliminary report.

Three subjects, presenting a variety of chronic pain problems, were treated with a cross-modality feedback technique. Their presenting pain intensity was matched to a pure tone auditory stimulus decibel level and in each session this stimulus was progressively reduced in loudness, with the subjects having the task of reducing their pain to match each new, lower decibel levels. Audiometric measures, responses to pain assessment scales, self-reports, reports from hospital staff, and reductions in pain medications all demonstrated marked pain reduction in all cases. Follow-up assessments revealed that the improvements were maintained long after treatment had been discontinued.

Arthritis, Rheumatoid